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Vaginal versus cesarean section oriented approaches in the management of breech delivery
Author(s) -
Confino Edmond,
Ismajovich Bernardo,
Sherzer Anat,
Peyser Reuben M.,
David Menachem P.
Publication year - 1985
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/0020-7292(85)90002-5
Subject(s) - medicine , singleton , breech presentation , vaginal delivery , obstetrics , retrospective cohort study , breech delivery , pregnancy , gynecology , surgery , genetics , biology
In a 5‐year retrospective study, 543 singleton breech presented infants weighing more than 1000 g were reviewed in two obstetric departments. Department “A” actively conducted the labor with lower cesarean section rate (26%). Department “B” attempted a trial of labor with less invasive procedures and performed more cesarean sections (38% P < 0.05 S). The management of labor, fetal and maternal outcome were compared between the two departments. Both vaginal and abdominal routes of delivery in fetuses weighing more than 1500 g resulted in the same fetal and maternal outcome. For fetuses weighing 1000–1500 g cesarean section is probably the recommended delivery route.